颅外颈动脉瘤的手术治疗

本文旨在探讨颅外颈动脉瘤围手术期处理和并发症的防治原则。共对15例颅外颈动脉瘤患者实施了手术治疗，术式包括动脉瘤切除加动脉重建术11例，动脉瘤切除加颈外动脉结扎术3例，动脉瘤腔内动脉修补术1例。无围手术期死亡。1例术后并发Horner综合征，其余恢复良好。8例随访6个月－7年，除1例因心梗死亡外均获良好生存。作者认为，动脉瘤切除加动脉重建术是治疗本病的最佳术式；重视围手术期处理，提高对常见并发症的认识和防治水平，是提高疗效和手术安全性的关键。

SURGICAL TREATMENT OF EXTRACRANIAL CAROTID ARTERY ANENURYSM

To assess the principles of perioperative management and prevention and treatment of postoperative complications of extracranial carotid artery aneurysm(ECAA),15 patients with ECAA received surgical treatment between 1988 and 2000.Among them,11 patients underwent aneurysmectomy with artery reconstruction,3 had resection of aneurysm and ligation of external carotid artery, and the other patient had aneurysmorrhaphy. No postoperative deaths or severe complications occurred except one patient with Horner's syndrome.Satisfactory results were achieved in 7 out of 8 patients within a 6 month to 7 year follow up period. The results showed that aneurysmectomy with artery reconstruction is a best operative procedure for extracranial carotid artery aneurysm. In order to prevent severe complications,such as brain ischemia and injury of cranial nerves, intensive perioperative management must be emphasized.